Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $69.18	Facility		$66.07	$66.07	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $100.00	Professional		$56.23	$69.18	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $151.36 / $151.36	Facility		$79.43	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $954.99	Professional		$812.83	$954.99	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $112.20 / $186.21	Facility		$60.26	$112.20	$186.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $69.18 / $128.82	Professional		$60.26	$69.18	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $93.33	Professional		$91.20	$91.20	$93.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $112.20 / $186.21	Facility		$60.26	$112.20	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $57.54 / $134.90	Facility		$36.31	$57.54	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $83.18	Professional		$47.86	$69.18	$83.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36